Merrimack Medical & Walk in Center, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MERRIMACK MEDICAL & WALK IN CENTER, LLC

Practice address

25 Marston St
3Rd Floor
Lawrence, MA 01841-2310

Phone

(978) 688-3100

NPI assigned

Sep 24, 2010

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Farzan, M.D.NPI 1093719924

Title

Partner

Phone

(978) 688-3100

Specialties & licenses 2

Addresses

Other names 1

• MMWIC Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Merrimack Medical & Walk in S LLC

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1013284637
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Farzan, MD

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1093719924
  Medicare reassignment Care Compare group Authorized official
• Jennifer Marie Anderson

  • Family Nurse Practitioner
  • Chelmsford, MA
  • NPI 1730665084
  Medicare reassignment Care Compare group
• Karen Ingrid Hunt, M.D.

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1891799524
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1124337175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "3RD FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-688-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "3RD FLOOR",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412310",
            "telephone_number": "978-688-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK MEDICAL & WALK IN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "FARZAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "978-688-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MMWIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana Delia Mercado
• Magaly Mercedes
• Vanessa Judith Mercedes
• Lindsey Mercer, M.S, OTR/L
• Johannah Kathryn Merrill, MD
• Merrimack Medical & Walk in S LLC
• Merrimack Valley ABA Services Inc
• Merrimack Valley Health Services Inc
• Merrimack Valley Orthodontics LLC
• Merrimack Valley Pain Management Associates, P.C.

• Family Medicine Physician in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.